Endlessly treating infections with no improvement is frustrating, time consuming, expensive and over time, can lead to more resistant issues. This was the case for one patient who battled chronic fatigue, recurrent sinus issues, SIBO (small intestinal bacterial overgrowth), numerous chronic infections and other tormenting symptoms. In her case, we combined an elimination diet, biofilm disruption, […] Read more…

Icky sticky biofilm. What is it? How do you get it? How do I know if I have it? And what can I do about it? What is biofilm? Biofilm is a collection of microbes that adhere to a surface, enclose themselves in a sticky protective coating called an extracellular polymeric substance (EPS) matrix, and […] Read more…

Warning: This is an opinion paper by Dr Lisa Giusiana. No research has been done to prove or disprove this theory. Whether you are a practitioner or a patient, the intention here is to encourage you to think! As doctors, we are trained to search the medical research literature for what has been proven effective as far […] Read more…

You may have read my recent article Reading Between the Lines of Your Blood Work Results and wondered what I might see on your blood work. You may have even recently gone to your doctor who ran blood work and said you’re just fine, even though you feel far less than. Some of you have contacted me […] Read more…

Typical scenario: New patient comes in, we do the health history, discuss a few things, I recommend a full blood panel work-up to get started. The patient quickly informs me that they already went to their doctor and the blood work was fine. Fine? Then why do you feel the way you do and come […] Read more…

Back around the year 2000, my whole world broke wide open. I went to my first Functional Medicine seminar and learned about the role that the adrenal glands play on basically every function in the body. So what does that mean, exactly? Well, if you take a look at the chart above, you’ll notice that the […] Read more…

In cases like heart burn, gastric reflux or indigestion, it is usually automatically assumed that the patient must have too much acid in the stomach. Too much acid is correct. But the real question is, “Which acid and where is it coming from?” And how can you tell if it’s too high or too low? Physiology […] Read more…

You’re exhausted. And cranky. You’re not sure if you’re just depressed and anxious, or if you’re depressed and anxious because you’ve been dealing with a massive headache all day. You’d give anything for a tub of Ben and Jerry’s and a bag of potato chips. Oh, and trying to stuff yourself into your favorite pair […] Read more…

You’re out to dinner with a friend. The food arrives, beautifully presented. You look over your choices, inhaling the delicious aroma, consciously deciding which item on your plate you’d like to taste first. You choose the grilled salmon with avocado soy drizzle, cut off a bite sized piece and take your first taste. You savor […] Read more…

You might describe inflammation as a reaction in the body that causes redness, swelling, pain, stiffness, fever, or that the area is warm to the touch. You know, like when you sprain your ankle and within minutes it’s the size of a grapefruit. That’s pretty obvious inflammation. But what about the silent hidden inflammation that’s […] Read more…